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目的了解糖尿病患者自我管理能力及生活状况等相关因素对血糖控制水平的影响。方法对门诊随访６个月以上的３７８例患者进行问卷调查，内容包括一般生活资料、经济环境、心理及自我监测等共２８条因素，结合门诊用药及血糖控制情况统计分析。结果糖尿病门诊患者餐后血糖波动＜８ｍｍｏｌ／Ｌ者占３４．６７％，血糖控制不好及未规则随访者占４４．１９％。被调查者３７８例中吸烟、经济条件、婚姻、居住、医疗费用、门诊复查血糖频率、饮食、运动、对糖尿病控制的信心等１１条因素与血糖控制相关。结论提高患者自我管理能力，不仅要强调良好的生活习惯、饮食、运动、自我监测等多方面综合治疗，坚持持久的对疾病控制的信心至关重要。
Objective To understand the influence of self-management ability and living conditions of diabetic patients on the level of blood sugar control. Methods A total of 378 outpatients with more than 6 months of follow-up were surveyed. The questionnaire included 28 general factors such as general living information, economic environment, psychology and self-monitoring, and combined with outpatient medication and glycemic control. Results Postprandial blood glucose fluctuations of diabetic patients <8mmol / L accounted for 34.67%, blood glucose control was poor and irregular follow-up accounted for 44.19%. Among 378 respondents, 11 factors such as smoking, economic conditions, marriage, residence, medical expenses, outpatient review of blood glucose frequency, diet, exercise and confidence in diabetes control were related to glycemic control. CONCLUSIONS: To improve self-management ability of patients, we must not only emphasize comprehensive treatment such as good habits, diet, exercise and self-monitoring, but also maintain lasting confidence in disease control.